4664 Ridge Cliffe DrCITY OF EAGAN Fiemarks
Additibn Johiln;y CalcP Ridge 2nd Loc L Bik $ Parcel #10 39801 010 08
Owner` iVo 111. DIL: street 4664 Ridge Cliffe Drive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
' STREET RESTOR.
GRADING
SAN SEW TRUNK
,of 1975 66.97 4.46 15 inlic;j
*SEWER LATERAL 19$1
WATERMAIN
kWATER LATERAL 1981
WATER AREA
STORM SEW TRK S22 1981 4341 68.68 5
*STORM SEW LAT 1981 K
CURB & GUTTER
SIDEWALK
STREET LIGHT
R
WATER CONN. 27000 11 11
BUILDING PER,
SAC
525
00
PARK .
CITY OF EAGAN Remarks
Additinn J'ohnny Cake Ridge 2nd Lot 2 Bik R Parcel #l.p 3g8().1 020 08
Owner<<i!I.,? - " -Street 4666 Ridge Cliffe Drive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK a 1975 66.97 4.46 15
*SEWER LATERAL a? 19$1 2277.43 455.49 $
WATERMAIN
*WATERLATERAL LSHI
WATER AREA
STORM SEW TRK 1981 343,41 68.68 5
' *STORM SEW LAT 1981
CURB & GUTTER
' SIDEWALK
STREET LIGHT
WATER CONN. 27000 it - if
BUILDING PER. it it
SAC
PARK
CITY OF EAGAN Remarks
Additton-,Tn}?nnTCa.ke R` {_.,.tiRP 2n.d Lot-4 sik-g Parcei #IO 39801 040 OS
Owner Street 4668 Ridge C7 iffe Drive StateEaganL., MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 'YQ 75 66.97
*SEWER LATERAL - ?
WATERMAIN
*WATER LATERAL 1981
WATER AREA
STORM SEW TRK 5 ? 1981 343.41 68.68 5
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 970-00 if if
13UILDING PER, if it
SAC
PARK
CITY OF EAGAN Remarks
Addition .Tohnn? Cake Ridge 2nd Lot 3 eik ? Parcel #10 39801 030 08
oWner -_r ?; H';;'• : street 4670 Ridge Cliffe Drive State Eagan, MIN 55122
;
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK Q 41 1975 66.97 4.46 15
*SEWER LATERAL 1981 2277,43 455.49 5
WATERMAIN
*WATER LATERAL
WATER AREA
STORM SEW TRK S2 343.41 006842 10115180
*STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. ftqrr7 ii
SAC
n
?
PARK
• CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
RECEIVED
FROM
--?-?- ?
•
DATE 19
AMOUNT $ I
& DOLLARS
E]CASH EICHECK
t oo
FOR
?
ThankYou
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
• CASI-i RECEIPT •
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
REC Ei V ED
FROM
AMOUNT $ I
& DOLLARS
?oo
r-1 CASH D CHECK
White-Payers Copy
Yeilow-Posting Copy
Pink-File Copy
Thank You
oK a- BY '?
? CASH RECEIPT •
CITY O3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVED
FROM
AMOUNT $ I
& DOLLARS
1 oo
Ej CASH F-I CHECK
FOR
. . . .. . , .. . . ' . , . 'I
PERMIT # ?
PLUMBING PEANttiT` RECEIPT #
CITY OF EAGAN
OT KNOB ROAD, EAGAN, MN 55122 DATE:
• PHONE: 454-8100
- " ' BLDG. TYPE WORK DESCRII
15ub Res. New
? Mult. Add-on
? r' ' • Comm. Repair
Zxj Other
- c Ciry L Phone.% RES. PLBG. ONLY - COMPLETE THE F
NO. FIXTURES
Name F, ??..
????, Water Closet - $3.00
?
Add Bath Tubs - $3.00
ress Lavatory - $3.00
^
` p City Phone Shower - $3.00
' Kitchen Sink - $3.00
? FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
? APT. BLDGS - COMM RATE APPUES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
: MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
'i MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
? STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
r(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
i SIGNA
' FOR: CITY OF EAGAN
?k ..____.._....".._"?.....__..__._..
FEE:
STATE S/C:
GRAND TOTAL:
fING
TAL
CITY OF EAGAN
? 3795 Pilot Knob Road Eagan, MN 55122 N2 5557
PHONE: 454-8100
BUILDING PERMIT Receipt #
.
To be uted for Est. Value • ' > ': - • Date ' ? `1`_ , 19
Site Address ??lid `"' r-;'iffc DYive
Erect C]
OFcupancy
Lot Block Set/Sub. Jt:ny C«;:e ;Uc'e 'ndAlter ? Zoning
Pcrcel # Repair ? Fire Zone
Enlarge ? Type of Const.
W Name ?'C Ori in T}io?npson Fi!?n?e? Move ? # Stories
3 Address1 727 }iopkins t;rossroad Demolish ? Front ft.
°
ci :'fi:tne totx` Phone =;3 Grode ? Depth ft.
?
o Name Approvais Feee
-
?
Address Assessment1-'-•t:-.'"
?
? Cit Pho?e Water & Sew.
h
Police
Uw Name
F W
Fire
Address Eng.
Q'Z" Cit Phone Planner
Council
I hereby.ocknowiedge that I hove read this application and state that gldg. Off.
the information is correct and agree to comply with all applicable AP?
State of Minnesota Stotutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
all work shall be done in accordance with all
Building Officiol
Permit 1 ? 5 _ 50
Surcharge - 110
Plan check . 7 5
SAC ? - `?0
Water Conn. -0
Woter Meter }Q
i . 10
Total
on the express condition that
inesota Statutes and City of Eagan Ordinances.
Permk # DoM lau PswkfN
Plumbing
Mechanical 17,1c
? ? (10
?
,?.
INSPECTIONS DATE INSP.
Rouph-In
Flnol
Footings Date Inap. Date Insp.
Foundation Plumbing
Frame/ins. - Mechanical 7-77
Final
Remarks:
• ? CITY OF EAGAN
? 3795 Pilot Knob Rood
Eagae, Minnesota 55122 INSPECTOR NOTIFICATION
Na Phone: 454.8100 R EQU I R E D BY LAW
PERMIT FOR ALL INSPECTIONS
,
Dote: 11
I72 211, '`'7
7 Rld(''E ?lf?f?--j
Site Address: XIOW7iC?i'?<-77"I
Lot Block $ub/$ec.
Nome ?-'i'?'in rl1afpsOi1 I?CneS
r. Address 1712 iTopkin.g Crossroa,(?
a
City - ??.iY1I7et(7!'1?Cc3.? T?T': Phone:
Name ?'=a`7 r < j"teltei^ :ieatin?
.
? Address ? 37 C111=72 L' .
e
0
V
City ' Phone:
This Permit is issued on the express condition that oll work shall be
Minnesota Statutes ond City of Eogan Ordinonces.
Receipt No.:
Singte
Residential =. Of 4-p1,e3(
Multi Res., Comm./Ind.
New/Alter./Repair.
Cost of tnstallation
Permit Fee
Surcharge
Tota I
done in accordance with al l applicable State of
Building Official
CITY OF EAGAN
3795 Pilof Knob Road
17f? Eoyon, Minnesota 55142 INSPECTOR NOTIFICATION
NQ' Phone: 454-8100
REQUIRED BY LAW
L PERMIT FOR ALL INSPECTIONS
Date:
Receipt No.•
Single I
1.i fe Residential r
Site /lddress:
Lot Block Sub/Sec. K: Multi Res., Comm./Ind. I
Name '-''?'? `'hcenPson HQr,es
New /Alter./ Repair new
Address 1714 'T-anldriS L'T`OSSY'08.''.
Cost of Installation
City j-mL't01'?Ca, i1'4
Phone: Permit Fee '(?•13,
.
?
?
0
Nome r'renz 'Ryan I Surtharge
Address 14'P45 SO. ROh@T't '1'Z'1.
V - -; r,-
I City Phone: I Total
This Permit is issued on the express condition thot all work sholl be done in accordance with all applicable State of
Minnesota Stotutes ond City of Eogan Ordinonces.
Building Official
, cirr oF EacaN
3795 Pilot Knob Rood Eogan, MN 55122 N2 5558
PHONE: 464-8100
' BUILDING. PERMIT ReceiPt #
To be used for - Est. Value Dcte 19 .
Site Address •;.i` :'? ?-3r'-4:= Erect ? Occuponcy
Lot Block Sec/Sub. -?^-'Alter ? Zoning
Porcel # Repair ? Fire Zone
E
l of Const
T
n
arge ? .
ype
oe
W Nome ill fJ10'mj 23011 'rioUIes Move ? # Stories
Z Address l7 -Tp,^sr^-?.d Demolish ? Front ft.
0
Ci
Phone
Grade ?
Depth ft.
?
Nome Approvals Fees
?? 0Address
~ Ci
?
u,,,W Name _
?
?? Address
Q W Citv -
I hereby acknowledge that I have read this application and state that
the information is correct and agree to comply with all opplicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Permittee
Assessment 1 ' ?7 •
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Permit
Surcharge - ?J
Plun check
SAC J
Water Conn. ?J
Water Meter
Total
A Building Permit is issued to• `'zr it' ' fi`:)m?%Gon l'crInF on the express condition that
all work sholl be done in accordance with ull applicable State of Minnesota Statutes ond City of Eagan Ordinances.
Building Official '
PonnM Date laued P?rR+MfN
Plumbing / 7(p7 R ./ ?
Mechanical L?- '
Slayy? 9 ? .
INSPECTIONS DATE INSP.
Rough-In
Final
Footings Date Insp. Dote Insp.
Foundotion Plumbing
Frame/ins. Mechanical
Final
Remarks:
!r
?
? ' ? I I -
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: `'t'a 9 '
Eagan, Minnesota 55122-1897 Date Issued: ; 0
(612) 681-4675
SITE ADDRESS: APPLICANT:
I E,r: 4 8 1 t}o.0:; ..
t r"?c;t.: c: 1, t Ff., t tro I?+?ra<, } y Ni
3 ?.i t4 fM hi '' i.1? h ?' K l ! 1 d:i 1: !? I.i ( tr 1 ?a ? ea ? ? ?, ? !?y (a 4
PERM(T SUBTYPE:
.r {t?" .1 i
TYPE OF WORK:
Hr lJ
( tc t.: 6" S A t' t-. D F: I' Y: ?
P f.. ,::,t::Ft fiF' ) t i+;,e
{' f10 1 1 !'d °-, ', I I I i! Fd l! I.
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINC,S
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP SOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
QRSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
_ ,_ _ .. _
.. -.
.
DECK FCG
DECK FINAL ?Z-f--(v?J/?
1
i
. CITY Of EAGAN
• 3795 Pilot Knob Rood Eagan, MN 55122 N2 5556
" PHONE: 454-8100
` BUILDING PERMIT Receipt #
To be used for 'Est. Value '.. , Date , 19
Site Address ^?= C11rfe Drive Erect [] Occuponcy
i? ?• ,?- t ?.:::c .
Lot ` Block ' Sec/Sub. ?p? y f Alter ? Zoning
parce) # Repoir p Fire Zone 3
Enlarge ? Type of Const.
at Nume OTrin T'nomrson i?omes Move ? # Stories
W
3 Address17.17 lloakins ?.:rossL'aa,? Demolish ? Front ft.
0 Cit Phone Grade ? Depth ?+ = ft.
? Name _ Approvals Fees
0
?? Address
~ Citv -
H
W W Name _
r
_? Address
I hereby acknowledge that I have read this application and state that
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Assessment.? : -` -
Water & $ew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit - ,
Surchorge
Plan check
SAC
Water Conn.
Water Meter
Total ?
Signature of Permittee _ I
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicabie State of Minnesota Stotutes and City of Eagan Ordinances.
Building Official
Permit Def la ed Ithe
Plumbing 7 /
Mechanical l ?
INSPECTIONS DATE INSP. Rough-in Final
Footings Date Insp. Date Insp.
Foundation _ P(umbing
Frame/ins. Mechonicol
Final
Remarks:
• ..,?LA
No.
' ?oat I: i.?
Dote:
Site Address:
Lot
IName _
.
°e
?
?
?
0
V
TF
M
Address 1712 HOpkiT1s CY'OPISSY'Ck&;
City ?/[LllI1P.tOT'1ki3' ? lrT Phone:
Nome i1. Wbl.ter Iiea.tic,
Address ? ' - chiapO AVL' .
City , . Phone:
is Permit is issued on the express condition that all work shall be
nnesota $totutes and City of Eogon Ordinances.
June 24, 1980
CITY OF EAGAN
3795 Pilot Knob Rood
Eogon, Minnesota 55122
P6one: 454-8100
PERMIT
J1?1Y . Ck. ? ?'jcP-t-
Block Sub/Sec.
Ci'I'T'j.T"1 `177a:.4i;3Gt7 HCm@S
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single _
Residentiol
Multi Res., Comm./Ind.
New/ Alter./ Repair e1f?-Aw
Cost of Installation
..,
Permit Fee `Surcharge "
Tota I
done in accordance with oll opplicoble State of
Building Official
CITY OF EAGAN
3795 Pilof Knob Rood
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
Date:
?1 af'i'e '.7"Ir.
Site Address:
u??•Ck•RiaF 2Sla
Lot Block Sub/Sec.
_`
hlome
`y i. 71 1)
Address -
3
O
?-
City Phone:
Name
?-:r?,? ?•:ar
Q.
iJi':
y
P Address
e
V
City Phone:
This Permit is issued on the express condition that all work sholl be
Minnesota Statutes and City of Eogan Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
/ 19669
Receipt No.:
Single ?
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Installation
Permit fee
Surchorge
Toto I
done in accordance with all applicable $tote of
Building Official
cinr oF Eac,aN
. 3795 Pilot Knob Road Ecgan, MN 55122 N2 5555
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date , 19
Site Address Erect [] Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Parcel $k
W IName IrriLi Thor?pyori '_-lomC:
3 Address?727 iioplci:•?' ('r:;,sro3d
o ,.._ .:tnnetonka
? Name
,o
?? Address
Repair 0 Fire Zone
? Enlarge ? Type of Const.
Move Q # Stories
Demolish ? Front ft.
Grode ? Depth ft.
? Approvals Fees
W ?.+ Name
Z.
?? Address
¢ W City Phone
I hereby ocknowledge that I hove read this application and state that
the information is correct and agree to compiy with all applicable
State of Minnesota Statutes and City of Eagon Ordinances.
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner _
Council
Bldg. Off. _
APC
Permit _
Surcharge (?-
Plan check
SAC
Water Conn.
Water Meter
Total
Signature of Permittee I
A Building Permit is issued to: - on the express condition that
all work shall be done in occordance with all opplicable State of Minnesota Stotutes and City of Eagan Ordinances.
Building Official
Ponnit #k DaN 1 ed ?nnMfes
Plumbing '1 /
Mechonical ?j
INSPECTIONS DATE INSP.
Rough-In
Final
Footings f' Date Insp. Date Insp.
Foundation Plumbing ?
Frame/ins. Mechanical
Final -12
1
-112
.
1 Remarks:
, i . :f-M
.
€:• ? . .. ? . . . ? . ? - ? .- ?.'
.rvo.
FIEAT?v"
aTr oF EAGAN
3795 Pilot Knob Rood
Eogan, Minnesoto 55122
Phone: 454-8100
PERMIT
Dote: Jtu-!e 25, 19E0
?4 R.idge rliffe iri°.
Site Address:
Lot ` Block - Sub/Sec. J'r'`V Ck Ridre 2nd
Name `!''lO;;iSpOIiS Smi2s
`
e
Address
? 171"
??:o?
y ' -`ry
?
City M.innetort-,? "
Phone:
Nome Pay
'
.
? 11 F. J ?' ^7', i `?.. .!J r'•. `? _' ,
Address
e
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
Multi Res., Comm./Ind.
New/Alter./Repoir
Cost of Installation
Permit Fee
Surcharge
20.40
3 City '•" , ' ? Phone: ' Totai
This Permit is issued on the express condition thot all work sholl be done in accordonce with oll applicable State of
Minnesota Statutes ond City of Eogan Ordinonces.
Building Official
-No.
Date:
, CITY OF EAGAN
3795 Pilot Knob Road
: . Eagan, Minnesoto 55122
Pboee: 454-8100
. ` _. PERMIT
July 1, 19$0
Site Address:
Lot T- Block
_ Sub/Sec.
O1'7'j.I'1 1hCtTlp80Y: HCF?l''s
Name
1712 '`IOpl,ln?,? CT'O°S:.'L33i
; Address
O r
,Mj- nPtOiAk`?
City phone:
Nome
?
1 ?
Address
c
0
V
y
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Stotutes and City of Eogan Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential :- ' ?` ?-•?' - •
'Multi Res., Comm./Ind. I
New/Alter./Repoir. I Cost of Instollation
Permit Fee
Surcharge
Toto I
done in accordonce with all applicable State of
Building Official
CITY OF EAGAN
3795 Pilot Knob Road
No. Ea9an, Minnesoto 55122 INSPECTOR NOTIFICATION
Phone: 494-8100 R E Q U 1 R E D B Y LAW
PERMIT FOR ALL INSPECTIONS
Dote: Receipt No.:
? Single I
',??".?.?' ^f? ?•
Site Address: Residentiol
?
Lot ? Block Sub/Sec. ulti Res., Comm./Ind. I
Nome . .'
.
e Address
?
City Phone:
Nome C:Cfl"[T'eY..:;
.
g Address
e
0
City Phone:
This Permit is issued on the express condition that oll work shall be
Minnesoto $totutes ond City of Eogan Ordinonces.
l l?
New/Alter./Repair
Cost of Installation
Permit Fee
-
Surcharge
li Total
done in accordance with all applicable $tate of
Building Official
swo-
CITY dF EAGAN 7C11rCR JCRYIbC rrRnnil
3195 Pilof Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: - No. of Units:
Owner: -
Address:
Site Address:
PI umber: -
1 agree to eomply with !he City of Eagan
Ordinances.
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Charges:
Misc
.
Total:
Date Paid:
R?
Dafe of Insp.:
I nsp.:
CITY nr EAGAN WATER SERVICE PERMIT
-+l.r Pilot Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units: i
Owner.
Address:
Site Address:
Plumber.
Meter No.': Connection Charge::'-; ?'r _
Size: - Account D
it
epos
:
Reader No.: Permit Fee:
I agree to eomply with f6e Cify of Eagon Surcharge: _ `i"'
Ordinanees. Misc. Charges: nr7 ?,>r
Total:
By Dote Poid:
Date of Insp.: _ InsD.:
CITY OF EAGAN WATER SERVICE PERMIT
374$ Pilot Knob Road PERMIT NO.:
Eagae; MN 55122 DATE:
Zoning: _ No. of Units:
Owner: ' •
Address:
Site Address: T:?
Plumber:
Meter No.: Connection Charge:
$ize: - A
D
ccount
eposit:
Reoder No.: Permit Fee:
1 ogree to eomply with the City of Eogon Surcharge:
Oedinanees.
Misc. Charges:
Totol:
BY Date Paid:
Dote of Insp.: Ins
P••
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber: _
1 agree to comply with the City of Eagon
Ordinances,
By
Dote of Insp.:
I nsp.:
Dote Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eegan, MN 55122 DATE: '
Zoning: _ No. of Units:
Owner:
?
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: _ Ac
o
t D
i
un
c
epos
t:
Reader No.: Permit Fee:
1 agree to aomply with the City of Eagan Surcharge:
Ordinonees. Misc. Charges:
Totol:
BY Dote Paid:
Dote of I nsp.: _ I ns
p.:
PERMIT NO.:
DATE:
No. of Units:
?
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
- CITY aiF EA3AN SEWER SERVICE PERMIT
1795 Pilot Knob Rood PERMIT NO.:
Eagon, MN 55122 DATE;
Zoning:
No. of Units:
Owner:
Address: -
Site Address:
Plumber: 4
I a9ree to eomply with the City of Eagan Connection Chorge:
Ordinances. Account De
posit:.
Permit Fee: '
B
y Surcharge:
Misc. Charges:
Date of Insp.; Total:
Insp.: Date Paid:
CITY OF EAGAN WATER SERVIC E PERMIT
' 379a Pilot K
b R
d
no
oa PERMIT NO.:
Eagae, MN 55122 DATE: ?
Zoning: _ No. of Units: ?
Owner.
?
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to eomply with the City of Eagan Surcharge:
Ordinonces. Misc. Charges r`
Totol: ?
By Date Poid:
Dote of Insp.: - Ins
p..
CITY AF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner;
Address:
Site Address:
PI umber:
I agree to eomply with fhe City of Eogan
Ordinances.
By
Dote of Insp.:
Insp.:
?
Connection Charge: _
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Poid: -
This request vui l7? C2 ?
18 months fSom -
Date of this Request (0 Fire No. ? 6 4`419
I,,as',' ?Licensed Electrical Contractor ? O?r, dot?e ?by?g st inspection of the above electri-
cal ring installed at: ,? ?? "r C.Ee. D?.? '?
Street Address or Route No. iff" OP" City ??y -
Section Township Range County
??
Which is occupied by ??.s? ?
(Name of Occupant)
Is a roughin inspection required on this job? No ? Ye§A9,,_ Ready Now O Will Ca1A?1
Power Supplier kA Address
Electrical Contractor J?oz,(' 6?-EC`Tp-ic, Contractor's License No
(Com ? ny Nam
Mailing Address ?'r ????? ?Ce. ?E 9b.
g (F?ec ica ontractor or Owner Making This Installation)
Authorized Si nature Phone No.
(Electrical Contractor or Owner Making This Installatlon)
n (??'? This inspection request will not be accepted by the
57?iyE RGA15t?D 03P State Board unless proper inspection fee is enclosed.
mncaUaa Oaaao wa.u vl uwarwIry
Griggs Midway Bldg. - Room N191 EB-00001-02
78214University Ave., St. Paul, Minn. 55104 - Phone 297-2111 t
-- - '. RE'QFJEST FOR ELECTRICAL INSPECTION ? 64419
CHECK BELOW WOI?K COVERED BY THIS REOUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home
D
l Tn& ?
? ?
? Range Tempoaary Wiring ?
up
ex
Apt. Bldg.
Commercial Bldg.
?
?
?
?
?
? r He r
` r
a
? Lighting Fixtures
Electric Heating
Silo Unloader
?
?
Industrial Bldg. ? ? ? " ir Ci i n - Bulk Milk Tank ?
Farm ? ? ? ist List
Other
?
?
? Others
Here ? Others
Here ?
COMPUTE INSPECTIO N FEE B ELOW
Service Entrance Size: # Fee FeedersBcSubfeeders: # Fee Circuits: # Fee
0 bo 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee ?? .$D
Signs Special Inspection Minimum fee $5.
Remazks
TOTAL FE 7_ .?
„q,j,V2
I, the Electrical Inspector, hereby certify th e abo e i spgction has been made.
(Rough-in) , ate
(Final) ' te ?/ P 7 '40
This iequest void `
18 months from
This request ? ??- (1? tp
18 months
? d
Date of this Request Fire No. 644? 7
I, aA?Licensed Electrical Contractor O Owner, "ereb??rl;quest inspection of the above electri-
cal wirit?g installed at: ?
?~v (J
Street Address or Route No. kxc- Gor Dk" City
.
Section Township Range County ?
Which is occupied by 0 ?Q5,-14 Is a roughin inspection required on this job? No ? Ye^,., Ready Now O Will Cadtg-
Power Supplier ki?' Address F* A-f-t d? ei?
?6L L ?5?6??? 1(2` Contractor's License Non?1,"'M
Elect rical.Contracto r
(COmpany Name)
Mailing Address
(Ele ?cal ontrac or Owner Making This Installation) ??
Authorized Signature Phone No.
(Electrical Contractor or Owner Making Thfs Installation)
This inspection request wiil not be accepted by the
? LJ State Board unless proper inspection fee is enclosed.
m?nnoavaa a?aw wmu U. GIOIiNI{.IIY
- Griggs Midway Bldg. - Room N191
1821 Ur ty Ave., St. Paul, Minn. 55104 - Phone 297-2117
RE FOR ELECTRICAL INSPECTION
CHFQWBELOW WOItK COVERED BY THIS REQUEST
1 ??Lte [_? 8-00001-02
RA407
<Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? Wa ter Lighting Fixtures ?
Apt. Bldg. ?
? ? ? Dr J? - Electric Heating ?
Commercial Bidg. ? ? Fu e ??. Silo Unloader ?
InduStrial Bldg.
Fazm
Other ?
?
? ?
?
? ?
?
? Au ? ndi - er '-
oList
HereIS? Bulk Milk Tank
List
Heiers? ?
COMPUTE INSPECTIO N FEE B ELOW
Service Entrance Size: # Fee Feedersl4cSubfeeders: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres .';
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres I ?.ad.
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee ?
Signs Special Inspection Minimum fee
Remarks
? TOTAL FE a? $(70D
I, the Electrical Inspector, hereby certify ab e?ction has been made.
(Rough-in) e?t ate 7- ?
(Final) „ )te t/(- 7 - --PG
This request void
18 months from
mI11110AV{O Jlplp OVaIY VI G1CUYI{H1lY
' Griggs Midway Bldg. - Room N191
1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111
"REQUEST FOR ELECTRICAL INSPECTION
CLIECK BELOW WORK COVERED BY THIS REQUEST
/q?.-p /„ EB.00001_02
? `?
S 94?1 P,
Type of Building New Add. Rep. Check Appliances Wired For Check Equipinent Wired For
Home
D ? ?
? ?
? Range Temporary Wiring ?
uplex
Apt. Bldg.
?
?
? Water
Dryer ? Lighting Fixtures
Electric Heating
?
Commercial Bldg. ? ? ? Furna
?. , Silo Unloader ?
Industrial Bldg. ? ? ? Air Co?itio ,? Bulk Milk Tank ?
Farm ? ? ? List List
Other ? ? ? ?ehers? Hehers?
COMYUTE INSPECTIO N FEE B ELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Am s. 150 0 to 30 Am eres 0 to 30 Am eres ,47)
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special Inspection Minimum fee $
Remarks
TOTAL FEE W .- j?
KJ•
I, the Electrical Inspector, hereby certifyXfX?}?e
(Rough-in) ??
(Final)
been rgad ?, ?
This request void
18 months from
This request void
h
f
18
mon :
rom-
s
D
hi
R
? 64416
ate o t
s
equest Fire No.
I
ection of the above electri-
asLicensed Electrical Contractor 0 Owner
re
uest ins
do hereb
, , q
p
y
cal wiring installed at:
Street Address or Route No. City ?UtJ
Section Township Range County 4J??
Which is occupied by ?k?
(Name of Occupant)
Is a roughin inspection required on this job? No El YeA,_ Ready Now ? Will Callff
P
S
l `% 6iV-
ower
upp
ier 9 Address
El
i
l C ??? ????/(f'
N
'
?LIR/
ectr
ca
ontractor o!
Contractor
s License
/
M
ili
d ?!` (Company Nam
?
? k!FF
a
ng A
dress / r
G ,
Authorized Signature ?E ct al Con ractor or Owner Making Thls Installatfon)
7xgi Phone No.
(Electrical Con ractor or Owner Making This Installation)
???? This inspection request wili not be accepted by the
l? State Board unless proper inapection fee is enclosed.
? CITY OF EAGAN
.
, 3795 Pilot Knob Road Eugan, MN 55122 N0- 5555
. 6 -PHONE: 4548100
BUILDING PERMIT APPLICATION Receipt
To be used for 1 of 4 Plex Est. Value43, 600.00 Dote
Site Address Ridge Cliffe Dr. Erect [g Occupancy R3
Lot 1 Block 8 Sec/Sub. Jhny.Cake Ridge 2ndAIter ? Zoning pD
parcel # Repair p Fire Zone 3
Enlarge ? Type ot Const. V
Name ?`rr in Them}?AOn Homes Move ? .# Stories
W
3 Address 1727 gopkins CYOSSrOad Demolish Q Front 22 ft.
° Ci Minnetonka phone 544-7333 Grade ? Depth 44 ft.
? Nome - SAME
^ Approvals Fees
??i=
Address
~ Ci Phone
u?
r- WW Name
M? Address
<'Z" Ci Phone
I
I hereby acknowledge that I hove read this application and state that
the information is correct ond agree to comply with all applicable
Stcte of Minnesota Statutes and City of Eagan Ordinances.
Signoture of Permittee
A Building Permit is issued to: '
oll work shcll be done in accordance ' appl0 1, Stat?e€- '
Building Official -?-? •?? ?
Assessment ] 2-(;??
Water & Sew.
Pol ice
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Permit 125 50_
Surcharge ?2 igO-
Plan check 62. 75
sAC 525.00
Water Conr270•00
Water Meter 60. 00
Rd. Unit75.00
Total 1140.25
on the express condition thot
Statutes ond City of Eagan Ordinances.
„ CITY QF EA} C _
'BLTILDING PERMIT APPLICATION
Include 2 sets of plans,j- '.
i site plan w/elevations &
1 set ot energy calculations.
Dr:C 3 1979
To Be Used For RV-s 1n E me_c Valuation 41. 6 0 0. oo Date ,.
Site Pddress :
Lot I slock $ sec. sub.
Parcel # :
Owner:
Address:
City/Zip Code:
Phone #:
Contractor:
- vnniiv , r,vlvir?u?? HpMES
AddZ'2SS: a Division of U. S. H^mP r".Poratiem
1712 NO?KIiVS C^nOSSR0Ai7
C1ty/Zlp COC12: - MINNETONK TPnone #: syy - 7 333
Arch./Eng.:
Address:
City/Zip Cale:
Phone #: -
OFFICE USE ONLY
Erect ?C Occupancy
-
Alter Zoning ??
Repair _
Fire Zone .3
Enlarge Zype of Const. $`
Nbve # Stories
Detnlish Front fqe2 ft.
Grade Depth ?Y ft.
APPRUVAILS FEES
Assessments ? Permi.t
Water/Sewer Surcharge aP--0T-
Police' Plan Check 6.2
Fire SAC
Eng. Water Conn. ? ?,O
Planner Water Meter (oD
Council Road Unit 267-
Bldg. Off.
APC
Zt7I'AL
????
CITY OF EAGAN
? 3795 Pilot Knob Rood Eagan, MN 55122 Hg 5556
PHONE: 451%8100 ., .,
BUILDING PERMIT APPUCATtON Receipt
To be used for 1 of 4 Plex Est. Volue 43, 600. 00 pate 12/ 11/ ,19_ 79
Site Address 4666 Ridge Clif f e Drive Erect [N OccuPancy -B3
2 g Q ny a cT?e R3Tge
Lot Blxk Sec/Sub. - 1n? Alter ? Zoning pD
Pcrcel # Repoir p Fire Zone 3
Enlcrge [] Type of Const. V
W Nume ?rrin Thompson Homes Move ? # Stories
3 Address 1727 Hopkins Crossroad Demolish ? Front 22 fr.
? Ci Minnetonka phone 544-7333 Grade ? Depth 44- ft.
n Name SAME Approvals Fees
F
Address
~ Ci Phone
f-
WW Name
?z
u? Address
<W Ci Phone
I hereby acknowledge that I have read this application ond state that
the information is correct ond agree to comply with all applicable
State of Minnesota Statutes and City of Eagon Ordinances.
Signoture of Permittee
A Building Permit is issued to: Orrin '
oll work sholl be done in accordance with ol
Assessment 3 2-?.o.?T
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off.
APC
Permit 125 50_
Surcharge ???.nn
Plan check 62 75
SAC
Water Conn. 270..O.Q_
Water Meter fin _ nn
RA. UIIit 75-nO
Total 1140_ 9 S
on the express condition that
and Ciry of Eagan Ordinances.
Building Officiul
m4-?'"
CITY OF . EAGAN
BUILDTNG PERMIT APPt?'CATION
Include 2 sets of p]..a.*zs,
1 site plan wfelevations &
1 set of energy cal.culatians.
Date ? C 3 1979
Zb Be Used For 'EZrs ,a eyc.e Valuati.on y 3, 6 0 0• ao ?
Site Address :
Lot _?2- Blocac 8 sec. sub.
Parcel # :
Owner:
Adclress :
City/Zip Code:
Phone #:
OFFICE USE ONLY
Erect 5?,Occupancy
-
Alter Zoning
Repair Fire Zone 3
Enlarge Type of Const.
Nbve # Stories
Demolish Front N? ft.
Grade Depth ?yy ?ft.
APPROVAIS F'E ES
Contxactor: Assessments Pernu.t
AddL'ess: M ES W3ter/Sewer
a Division of U. S. pnY-,? PoliCe Surcharge
Plari CheCk
6,;2°20
C].ty/ZlP COde: 1712 HoPKINs GnassRoAa
Fire
MlNNFTONKO
"
SAC
Phane #: S y y , h
IIUN 66?4-?
?g.
"`l 3 33 Water Conn. ,?. >
Planner Water Meter
Arch./Eng.: Council Rr?ad Unit
Bldg. Off.
Address: APC
City/Zip Code:
Phone #:
'I'a'm I /a. ?.?'
_N CITY OF EAGAN
3795 Pilot Knob Road Eugdn, MN 55122
PHONE: 4548100
BUILDING PERMIT APPLICATION
N2 5558
Receipt
To be uaed for ] Of 4 Plex Est. Va?ue 43, 600.00 Date 12,171 , 19_.79_
Site Address 4668 Ridge Clif f e Dt'ive Erect EN Occupancy R3
Lot 4 Block 8 Sec/Sub. Jhny Cake Ridg e 2IIdqiter ? Zoning PD
parcel # Repoir ? Fire Zone 3
E
l f C
t
`1
T
arge
n ? ons
.
ype o
W Name nrri n Thrnn ?n Homea Move ? # Stories
Z
° Address 1727 HOpkii1S CLOSSIOBd Demolish p Front 22 ft.
Ci Minnetonka phone 544-7333 Grade p Depth 44 ft.
? Neme SAME Approvols Fees
,
?
Address Assessment ?9.
l
? Ci Phone Woter & Sew.
?
Pol ice
F W Name Fire
?? Address Eng.
<W Ci Phone Plonner
Council
I hereby acknowledge that I have reod this opplication and state that Bldg. Off.
the informotion is correct and ogree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. o
APC
Permit 1?5 - SQ
Surcharge ')- ?10
Plan check 67- 7S
SAC S9 S np
Water Conn. ?..:QO
Water Meter _6,0 .,?0
Rri .-TT?^i-t--- 7-5-00
Total 11,40.25
Signoture of Permittee (
A Building Permit is issued to: 'FRITMIh on the express condition that
oll work shall be done in cccorda e wi il opp' e te of Minnesoto S
Building utes and City of Eagan Ordinances.
Official r?'z "? ','< « .
_ ? CZ OF EPGAN
BUILDING PFRMIT APPI,ICATION
Inelude 2 sets of plans,
1 site plan w/elevati.ons &
1 set of enP.xgy calcul.ations .
? 3 '?7?
Zb Be Used For RE.stoEzc.? Valuation y34 600 • aa Date dE
Site Address: MAI ? OFFICE USE ONLY
Lot ? Block $ Sec. sub. '?NY coa?.
t?afl _E ?.,?fl Erect _? Occupancy
Alter Zoni.ng
Parcel #: gepair Fi.re Zone ?
Owner: Enlar9e _ TYPe af Canst.
Nbve # Stories
Ac3dress : Demnlish Front f t-
City/Zip Code: Grade Depth ft.
Phone # : APPROVALS t
Contractor:
vnRr"v -rrruivl rSUiV NONlES
Addt2SS: a Division of U. S. 4?nr-,Q e,,.,,,,..,.;,._
1712 HOPxENs chOssRaAD
City/Zip Code: M!(UNETON?c,q,, A41444.
Pnone #: sy y-`7 3 33
Arch./Eng..
Address:
City/Zip Code:
Phone #:
?
Assessments Penni.t
L 026'0
Water/Sewer .
Surcharge ..
a ? 4:p
Police Plan Check
Fire SAC e ?
Enq, Water Conn. 'P > ea ?
planner Water Meter l ?
Council Road Unit
Bldg. Off.
APC
TOTAL
5 ;`> ,
, CITY OF EAGAN
3795 Pllot Knob Raad Eagan, MN 59122
PHONE: 454-8100
BUILDING PERMIT APPLICATION . •.,, Receipt
N° 5557
To be used for 1 of 4 Plex Est. Value 43,600.00 Date 12-11 , 19_79
Site Address 4670 Ridge C11ffe Drive Erect ? Occupancy R3
Lor 3 Block 8 Sec/sub. Jhny Cake Ridge ZAdqlter ? Zoning pD
parcel # Repair ? Fire Zone 3
E
l t
V
T
f C
n
arge ? ons
.
ype o
Name 7lX?l Orrin ThOIDASOII HOm2S Move ? # Stories
W
3 Address1727 HOPICi118 Crossroad Demolish ? Front 22 ft.
° Ci Minnetonka phone 544-7333 Grade ? Depth 44 ft.
?
0 Name Approvcls Fees
??
' Address
r ?:...
Name _
Address
I hereby ocknowledge that I have read this application and state that
the information is correct und agree to comply with all appiicable
State of Minnesota Statutes and City of Eagan Ordinonces.
Signature of Permittee
A Building Permit is issued to: _ Or_ri-n
cll work shall be done in accordance with all
Assessment 12-6-79
Water & Sew.
Pol ice
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Permit 125.5n
Surcharge 22- n0
Plan check 62.75
SAC 59 S _ (1Q
Water Conn. 270...?0
Water Meter 60..D0
0
Total 4140.25
on the express condition that
ond City of Eagen Ordinances.
Building Officiol
?
CSTY QF EAGAN
BUILDING PERMIT RPPLICATION
.0 . 1 .
To Be Used For Rt_?QEy? Valuation
site Acidress:
ZAt 3 BZOCk V S2C.?SU1J. HNN?1 ?At?
Parcel #
,
Owmer:
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculati.ons-
434 600. Go Date DEC 3 1979
OFFICE USE ONLY
Erect _0 ? Occupancy
Alter Zoni.ng f
Repair Fire Zone 3
Enlarge Z'ype of Const.
Move # Stories
Demnlish Front !??a ft.
Grade Depth ,gY ft.
Address:
City/Zip Code:
Phone #:
Contractor:
pp?,,,?Y.{LiLC rrtulvl rSUN HOMES
t.S.S: a DIVISIOn Of U. S. ?!^!'.lP ?'nrnnr,a;,,,_
1712 Fic??KIiVS Cn^OSSROAD
City/Zl.p COde: MIN?vFTnti?ce, 6914;y bb'??
phone #: s4y-'73 33 - J
Arch. /E?ig.
Address: -
City/Zip Code:
Phone #: -
APPRUVAIS -- F
- EES
/a
Assessments ? Permit
Wat:er/Sewer Surcharge a A
Police Plan Check &2
Fire SAC
gi9 - Water Conn. ? > o
Planner Water Meter Go-?
Council Road Unit ;ks
Bldg. Off.
APC
TOrI'AL 'Yd ?
r
?? r ?
,W • • Y OW4 C/ For:
U. S. Home Corporation
C. R. WINDEN b ASSOCIATES, tNC.
LANO SURYEYORS T!L 645-3646
1381 EUSTIS ST., ST. PAUI, MtNN, 55108
Scale: 1" = 50'
\ \
?
\
?
\
?
Note: As of this date Johnny Cak.e
Ridge Second Addlition has not
been recorded.
Lots 1 thru 4 inclusive, Block 8,
Johnny Cake Ridge Second Addition,
Dakota County, Minnesota.
WE MEREdY CERtIFY THAT THtS IS A TRUE AND CORRECT RERRESENTATION OF A SURYEY OF THE
SOUNDARIES Of THE LAND ABOVE aESCRI6ED AND OF THE IOCATiON Of All dU1lDINGS, IF ANY,
THEREON, AND All YI$16tE ENCROACHMENTS, If ANY, FROM OR ON SAID lAMO.
Dorod this 7fh dar oi a4V• A,p. 1974 , C. R. WINDEN 8 ASSOCIAfESy INC.
0
Sutr"r, Minaewro Registrotio++ No. 7729
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.IeN. s 10-39801--040-08
PERMIT PERMIT TYPE:
Permit Number:
Date Issued:
4668 RxDGE cLxFFE oR ,
LOT: 4 BLOGKs 8
.7pHNNY CAKE RIDGE 2ND
?05 7°'llP ?---
BUILDItdG
027699
05/30J96
DESCRIPTION:
(REPLacE aEcK)
?r,
? .
P e r m i t T y p e
??a?%?I: ?! ?.r-r6.
5 F ( M I S C }
,
k Type NEW
C 434 AI.T. ?RESIDENTIAL
b
Y
...,y'? 's '?»e .,,F
° x•F:^,
a:a.., ?.?i?%.• =tie
•
,?..,;?;,m #?
a,'.?" „ ?g . ..'8;"a
.E o ?
m
k e? ?"?"%;
'^ e
e
"
'
?
.`
,
;.
,
,
s+
:i ,
p
1a"
?
Y+ 2
§
3 ?
e ..
>' 'i ?d ?-
- FA
k
Tc ?
.
REMARKS:
FEE SUMMARY:
sase Fee $45.00
Surcharge .50
Total Fee $45.50
CONTRACTOR: - Applicant - ST. LxC.OWNER:
SUNDANCE CONS7 INC 15377564 0605670 BUCK TQM
6922 42NC1 AVE N 4658 RIpGE CLIFFE DR
CRYSTAL MN 55427 EAGAN MN
(612) 537-7564 (612)668-7e06
,x• , .,£???•E,J? ?Er.":?«?i? ?.??l:-P-:.:??i?; .-c?€?' ?;u°?`,Mu`?:z?>?>?°?.?;a?,`:
. .
I 'g£•? p .?(C ?2% ?g. .?? .. , ,g. .,?i.e.<
?
. .d,
?rT ? ??` .?,9p, ?i„ ?g'e ';??•.
i.,
^z
l!
a.:.?.d .. ,
«... . •, .o?.. ,. ..:a° • ,a`? , y .,..?.e. .,.s, ? Y. ? ; . „ ::.. ;.g:.. , •? ,
APPLICANT/PERMITEE SIGNATURE
: g?.. .
?¢° ,?, .? ?. ..,....
,
W,
=?upp 1,.? ?:ti r???
?m ?;
-?'?• a? ?? a,?,a??`:?. ,;.?.x. a«.
.v?
Fr? z? ?.?Tr i ? .,?, ,?:??,, t"" ";Q? ,? ?
??'j'??P 1? 6 fi'? Cl;. ?•y ,
>??:s•? -.a?+,. ,?,'?i..: ,.».e?:?* p?<. .?.?_? arx•Y ?m-?:s -??s... .¢? ,?.?i?,?., ;.ar?.:
... .+?? .,a??:E . „?.?..?• ,z:?•?.. `;`?,a, ? ??..."?,??<>. ?,?? ? a.?a_
?
ISSUED BY: IG URE
iaa CITY OF EAGAN
E
lq 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reauirements Remodel/Repai r Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inciude be am 8 window sizes; poured fnd, design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 ensrgy calculations for heated additions
? 3 copies of tree preservation ,plan H lot platted aRer 7/1l93 ,
required: _ Yes ?? No
S Z Z" (6 Z?1 S?' d G
OST
DATE: :
CONSTRUCTION C
DESCRIPTION OF WORK: V--e-??V 9- (Ux fc J-eca??.r??? ?0 x Z? cle C ?
STREET ADDRESS:
LOT BLOCK ? SUBD./P.I.D. cals, "2'
PROPERTY Name: Phone #:
OWNER usT fIRST
L4b?''? C
Street Address:
City: E??900- State: VMtJ Zip:
CONTRACTOR
.
panY: Phone #:
Com
Street Address: ,? Ave ? License #:
City: State: Zip. ?27
5-6-7b
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City:
State:
Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
1 hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all
appticable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ???ENED ?
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
,X--32 Addition ,,?34 Repair
GENERAL INFORMATION
a 11 Apt./Lodging ?
? 12 Multi Repair/Rem. o
? 13 Garage/Accessory ?
? 14 Fireplace o
?15 Deck
0 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneaus
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ?3y
Depth Footprint sq. ft. SAC Code o 0
Census Bldg ?
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC .,
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Traits Ded.
Other
Copies
Total:
% SAC
SAC Units
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 775
DATE: 04/20/00 TIME: 14:45:47
ID:
NAME: LOCO CONSTRUCTION LLC
3210 9001 4657 RIDGE CLIF 111.25
2155 9001 4657 RIDGE CLIF 2.50
3210 9001 4687 RIDGE CLIF 139.25
2155 9001 4687 RIDGE CLIF 3.50
3210 9001 4664 RIDGE CLIF 111.25
2155 9001 4664 RIDGE CLIF 2.50
3210 9001 4681 RIDGE CLIF 111.25
2155 9001 4681 RIDGE CLIF 2.50
3210 9001 4621 PENKWE WAY 111.25
2155 9001 4621 PENKWE WAY 2.50
Total Rec eipt Amount: 597.75
CR127 061
USER ID: JAN
i.._yyy-.?..i..?..L11.L.LJ..L i.L.L 11.4}.}.j.{.{. Y* * ]F* *j[* *7F*'k
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
651-681-4675
New CanafiucHon Reauirarrwnts
3 registered site surveys showinq sq, ff. of lot, sq. tt. of house
and gH roo(ed areas (20% maximum lot covero aliowed)
2 coplea of plans (show beam & window sizes; poured tnd. design; etc.)
1 set of energy caiculaflons
3 copies of tree preservaflon plan It lot platfed affer 7/1/93
DATE:
Remodel/Reoair Reauiremenh
2 copies of plan
1 sef of energy calculalions for hected addiflons
1 site survey tor extedor addiMons & decks
CONSTRUCTION C05T:
.Z,/P,9v
D0
DESCRIPTION OF WORK: T? - 12--0 c? /'C? :7e-
STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D. #: ?a?nhy C(,Wt k( daQ )nL
Name: r? 2- - 0
+c P o e #: l d `7` ?-5`'
PROPERIY laat Firat
OWNER
Sheet Address:
CitY State: Zip:
• Company: Phone #: ??PP- 7?6 Z-1
t&ZIE LoCo Con,structi?n LZO. (area code) COMRACTOR 4900 71st Avenue North
Street Addre Loretto, MM $5359 L1Cense # Exp.
CitY State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Sheet Address: Regishatlon #:
City
State:
Zip:
Sewedwater licensed plumber (if installina sewer/water): Phone #: (
I hereby acknowledge ihat I have reod this appiication, state that fhe Info tion is correct, and gree to compiy with ali applic:abie Stote
of Minnesotc Statutes and City of Eagan Ordinances.
.? Signature of Applicant: `
r OFFICE USE ONLY
Certificates of Survey Received Yes No '
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
r
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling O 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex O 10 08-piex
? 05 03-plex 0 11 10-piex
? 06 04-plex O 12 12-plex
0 13 16-plex ? 21 Porch (3-sea.) 0 31 Ext. Ait - Mulb
O 17 Garage O 22 Porch/Addn. (4-sea.) O 33 Ext. Aft - SF
0 18 Deck ? 23 Porch (screened) ? 36 Mufti
? 19 Lower Level 0 24 Storm Damage
Plbg Y or_ N ? 25 MiSCellane0us
? 20 Pool ? 30 'Accessory Bidg.
WORK TYPE
? 31 New O 36 Move Bidg. 0 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to appl icant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
Valuation: $
,
.
?
SAC Units
% SAC
2004 RESIDENTIAL BUILDING PERMIT APPLICATION ?
' City Of Eagan C)
???,?` ? 3830 Pilot Knob Road, Eagan MN 55122
U Telephone # 651-675-5675 FAX # 651-675-5694
?? -
New Construction Reauirements RemodeilReQair Requirements (M" e°llse>(??I"
registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan ?I?Sy?t??`R:S?
?-? ? ,. .,, ..
(20°a maximum lot coverage allowed) 1 set of Energy Calculations for heated additions €T° `<?;' '' N
??..?? ... .?.
2 copies of plan showing beam & window sizes; poured found design, etc. . 1 site survey for additions & decks Tree^l?res';Requir?l;"?
1 set of Ene Calculations
?9Y Addition - indicate if on-site septic system (?I;?slf?,„?C;Sy?s?sm„ : °?,' •,,: ;?C
3 copies of Tree Preservation Plan if lot platted after 7l1/93
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Date 4 / .2 /AO Construction Cost
Site Address r • Unit/Ste #
Description of Work ?R.(rGI,Gv
- -?
Multi-Family Bidg 'Y_ N Fireplace(s) 2
?
Property Owner Telephone # ( (oS _b 6
Contractor C) W Y--
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDINC
- Minnesota Rules 7670 Categgry 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y T N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # (
Te
Mechanical Contractor 6t4
lephone # Sewer/Water Contractor Telephone # (
0
I hereby apply for a Reside Buildin rmit and acknowledge that the information is complete and accurate;
that the wark will be in con rman ith the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is n ertnit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Appl'c nt's Printed Name
?
Applicant' ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex O 11 10-plex
? 06 04-plex ? 12 12-plex
Work Types
p 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation
C
d
C t
e
ensus
o
SAC Units
# of Units
# of Bldgs
Type of Const V 11?
? 13 16-plex ? 20 Pool
? 16 Fireplace ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn. (4-sea.)
r 18 Deck ? 23 Porch (screen/gazebo)
? 19 Lower Level ? 24 Storm Damage
Plbg_Y or _ N ? 25 Miscellaneous
? ° X,?, k
Int Improvement ? 38 Demolish Interior ? 44
Move Building ? 42 Demolish Foundation ? 45
Demolish Building* ? 43 Reroof ? 46
"Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy `-3 MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length o?- } Fire Sprinklered
Width l C? REQUIRED INSPECTIONS
. ?..-?
O 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
Footings (new bldg) Final/C.O.
!R Footings (deck) zo Final/No C.O.
? Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. Air Test _ Final _ Windows
Insulation Retaining Wall
Approved By:?? Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? • • ?
For:
U. S. Home Corporation
p? 3z
? SfQ
ti q
?°6? p?• •r??
b' j Q 67
^c
06, r
,
\
\ ?•?.?.
C. R. WINDEN b ASSOCIATES, lNC.
LAND SURVEYORS Ttl 645-3646
1381 EUSTIS ST., ST. PAUI, MINN. 55108
Scale: 1" = 50'
io •
.?
Qt /
. ??
?
\U' ?
, .J
>U11ui%,?Il?G I N S[?6??1y??h?I?:?l';
Note: As of this date Johnny Cake
Ridge Second Addition has not
been recorded.
Lots 1 thru 4 inclusive, Block 8,
Johnny Cake Ridge Second Addition,
Dakota County, Minnesota.
WE HEREdY CERTIFY THAT TMfS IS A tRUE AND CORRECT REPRESENTATION OF A SURVEY Of THE
dOUNDARiES OF THE lANO
TMEREON, AND All VISI6LE A60vE DE5CRI6ED AN
ENCROACMMENTS, IF D OF TME LOCATION
ANY, FROM OR QN OF All 6UIlDINGS, {F ANY,
SAID IANC.
Dotad thii 27fh doy o) r`o% A.D. i079 C. R. WINDEN b ASSOt1ATES, INC.
bv
Survtyer, Minnesote Ro9istrotion No. 772G
jo?qo
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
,
Date Q9_ / .21 /p2OZ
Site Address 4
?il
?
0
o
R d o e
e {
t
-
- Unit #
Property Owner /Mctrv Z / Telephone #( jp5l ) Z00,'' 9W"7
Contractor A &I I(k
Street Address p?plp5 ???? U?A w City
S/?O 17
State ? ? Zip ?oJ(/ Telephone # ( (p,?j f ) 03?' ?1? (P
Bond #• Expires:
The Applicant is Owner _X Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional _Replacement
air excha nger
_ air condit ioner _New _Replacement
other
State Surcharge $ .50
Total $ :V 6('
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approv 1
neVS ver5on,1/ C 4wn?"Ot- -
; I ?
Applic nt,s Printed Name Ap ic t ignature '? ?
0?T ?) 3 ?? 00?
j
J j
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _
$ Permit Fee
• If e? rmit fee is $1,000 or less, add $.50 ? $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 ep rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; tnat tne worx
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
2006 RESIDENTIAL BUILDING rExMIT aPrLicaTroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage ailowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan 'rf lot platted after 7l1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Remodel/Reoair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Add'rfion - indicafe if on-site septic system
?.? o 04)
Office llse Onlv
CeR af Survey Recd _ Y_ N
Tree Pres Plan Recd °_ Y_ N,
Tree Pres Required _Y _N
On-site Septic System _ Y_ N
Date ? / &, / ?
Site Address Rtkg Construction Cost
? (g PF ? UniUSte #
Description of Wor k
Multi-Family Bldg _J-Y _ N Fireplace(s) _ 0 2
Property Owner Telephone #
Contractor Z'W('''S U` r,?, T&t}? ?-- Rk,?? ??
Address
State Z $ ep
4'vt tn.. ci City f3 Gf,((zli(s ydtt?y
Zip Telephone # (Q'??} ??^Zl 71:;-?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate?orv 1 Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of lans. A("
? ? ??e1e5;
Applicant's Printed Name Applicant's Signature
DO NOT VVRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repiacement
? 07 05-plex
? 08 06-plex
O 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
DeSCI'iptioll: Water Damage
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
O 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Buiiding" ? 43 Reroof ? 46 WindowslDoors
"`Demolition (Entire Bidg) - Give PCA handout to applicant
Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) _ FinaUNo C.O. •
Foundation HVAC
Drain Tile Oflier
Roof
Ice & Water Final Pool Ftgs Air/Gas Tests Final
_
_ Framing _
_
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaini.ng Wall
Approved By: , Building inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 0Y73&X? 2006 RES?EN''I?.L ?3?TIL?DII?C?.a PER1VlIT APPLICATIQN m t9"!? ?"/?fAuf p,_
City Qf Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruction ReawremEnts
3 regrsiered sfie sunreys showing sq_ ft. af lot, sq fl of hc?use, and all roofed areas
(20°,'o manimum loi coverage alloN,ed)
z copies of nlan shovnng bea m& wnndow sizes, paur?d found design, etc
1 se; of Energy Cak,-ula6ans
3 copies ofTree Preserbziion Pian if!oi piatiecl a@er 7l193
Rim Joist Detail Op6ons selhcfion shaet (buildinys wrfh 3 or irss unifs)
Minnegasco mechanical ventilation forrn
RemotlelRecair Reauirements
2 copies of pian shovving foofings, beams, joists
1 set of Energy Cufouiafions fc•s heaied additions
1 sife surisey for additions & decks
!?:ddlfiGl7 - L'7&,atB !f On-Slt2 S?ptlG ?JSt?!7!
1? 113 - "1 s
Gffice UsP Onlv
Cert of Surrey Recd _ v N
Tree Pres Pian Rc;d N
Tree Pres Required 'r` N
On-s!teSeptic Cysfem _l` _N
Date O l Construction Cost
-?T
Site Address
f IJnitlSte #
Description of W ork
Multi-Family Bldg LZY _ N Fireplace{s) _ 0 _ 1 _ 2
Property Owner r Telephone#(6p?fi 699- 9
Contractor _
Adclress _
State THD At-Home Services, Inc.
DBA The Home Depot Home Services
3200 Cobb Galleria Pkwy., #200
qtianta, GA 30339 (763) 542-8826
LICENSE: #20268257
i?
Telephone # ( )
???PLETE TH'S AREA ONLY IF
Energy Code Category - Mifmesota Ru1es 7670 Category l
• Residential L?entilatson Categ?+ry 1 Worksheet
(? sul?missior type} Submitted
• Energy Envelope Calculations Submitted
A NEW BU1LD1NG
_ulirinesota Eules 7672
• New Energy Gode WorKsheet
Submitted
In the last 12 months, has the City of Eagan issued a perniit for a simiiar plran based on a master planG
_ Y _ N if yes, dcjte and Gcldress of mastei plan:
Licensed PIumber
Mechanica( Contractor
SewerlWater Cantractar
Telephone # (
Telephone #;
Telephone # (
I hereby apply for a Residential Building Permit and acknawledge that the information is complete and aticurate;
that the work will be in conformance with the ordinances and codes of the Cfty of Eagan and the 5tate af 1LZN
Statutes; I understand this is nat a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the appraved plan in the case of work which requires a review and
approval of plans.
_ S14 e44' k==7?
t1nr? fr??r?t o 'r.tRra TaT?
i
?
r. . DO NOT WRI'I'E BELOW THIS LIN'E
Sub Tvpes
0 01 Foundation
? 02 SF Dvvelling
? 0-4 04 oi_ptex
? 04 O2-pleX
? 05 03-piex
0 06 D4-plex
Work a
pes
Q ,i
v! 14ew
? 32 Additon
0 33 PJteration
0 34 Replacement
0 07 Q5-plex
0 08 06-plex
0 09 d7-ptex
? 10 03-nlex
? 11 1Q-pIex
? 12 12-plex
DesCYipS#Ott. WaterDamags
ValUaitiQt]
Pian Review
Census Code
SAC U nits
# of U n its
# of Bldgs
Type Qf Cortst
`i f?0% Qr
FaQtings (new blrlg}
Footings (deek)
Foatings ( additian)
FoundatiQTi
Draiti 'I'ile
Roof Ice & Vjater Fir;ai
Framirg? ?
0 13 16-plex
El 16 Fireplace
Q 17 {?Ja.raga
0 18 Decis
0 19 Lower ??el
0 30 Accessoryf BIdg
0 31 Ext. Alt - Mtalti
0 33 Ext. AiT - Sf
? 36 Muiti Misc.
?35 Int improvement ? 018 Demolish interior 0 44 Siding
? 36 Mcaue Building 0 42 Demolish Foundati4n ? 46 Fira Repais
? 37 Demelisfi Building* ? 43 Rercof 0 46 VMndowstDaors
*Demolition (Entire Sldg) - Give PCA handout tcr applicant
Yes
Occupan: y
25%
?cning
Stories
Qc;, Ft.
Length
Width
? 20 P001
0 21 Porch ( 3-sea.)
0 GL r C.IcI IFCad:..2n. 14-Sea. A
? 23 PQrch (screenlgazebo)
0 24 S±orm Damage
? 25 MISCef(aI1e4U8
MCES 5ystern
Gity Water
Booster Pump
PRV
Fire Sprsnklered
??QUIRED INSPEC`I'IONS
Sheetrcrck
Firal1C..C).
Firu?l/No C.O.
H-Vr Av
Othzr
_ Pool Ftgs Air;'Gas Tests Final
_ Siding _ Shacco Lath _ Stk-ine La#li _Brick
VG'irldow s
_ Retaining Watl
_ Fireplace _ R.I. Air Test Final
Insulation - -
Approved $y:
Bdse F=ee
SL!!'Gha!'g8
Plc`Zn R@V IeW
MC/ES SAC
City SAC
Utility Connection Charge
S&lr`1! Permit & Surcharge
Treatment PEant
License SRarch
Copies
C}th?r
Building Inspector
-----------------------------------------
I s. CPO-nuits
My ePermits
?? latan 651-675-5675
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Purchase Information
Permit Windows/D ors
Number:
EA073607 4670 Ridge Cli e Dr
Required Insp ctions:
Windows/Doors inal
Comments:
If altering the op ning size, a framing inspection is required. Smoke detectors
are required in all leeping rooms prior to final inspection. When wall studs o'r
ceiling joists are e posed, hard-wired detectors are required. Battery operated
types are acceptab e if the wall/ceiling finish (i.e. sheetrock) has to be
removed to install smoke detector.
Total Fee: 1
It is the permit holder's responsibilV to call and schedule inspections. Please call City of Eac
675-56751to setup the inspection times and dates.
Privacy Statement
https://epermits.logis.org/ePermitsWebPublic/CheckoutComplete.aspx?orderID=128 6/1/2006
zoos RESIDENTIAL PLUMBING PERnniT aPPLicaTiorv
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
4i5?)o
Date 0(0
Site Street Address .? Unit #
Property Owner - Telephone # Oh- 5!?---tw?c
Contractor W,0) ( Telephone # (650 _L
Address 2100 • City State-/
?JL Zip _????ov
The Applicant is: _ Owner L?o Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section an
c?k?
appliance(s)
ou are installin O?n ?
D
y
g. U D
_Septic System Abandonment
OCT
2 2006
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
W
t
S
ft
?
_
a
er
o
ener
Water Heater
new
re
lacement $ 15.00
_
_
p
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ /S°s0
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordiFlances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, wo k is not to start without a permit and work will be in
acccrdanc,e y,rith the aNproved plan in the svent a plan is required to p?q?reviewed and approved.
r i :s d /'-eh ApplicanYs rinted IVame Applic nt' ignature
?f-?
AhL_
"IIPI ?1?y of Eaian
3830 Pilot Knob Fioad
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651) 675-5694
? 7 ?7ce;?:se r _ --- - --- i
c? t
j permit #:
1 1
? Permit Fee: ?
j Date Received: ?
1 Staff: ?
I ?
L..-----o..---_------?t
2008 REStDENT'1AL BUILDING PERMIT APPLICATION
Date: Site Address: /6
Tenant: +115v r r7z-44-G,j Z-1666 Lf6_ bv? Suite #:
RESIDENT / OWNER Name: c4l
?J? JZ,102?n. -°f'f?_L,,7 &,.WCphone: _
r -
aadress a ciry ? zrp:
Appiicant is: Owner Contractor
TYPE OF WORK Description af work:??'
Construction Cost: I.- -7 ? Mubti-Famity Building: (Yes -/ tVo
,
COtdTRACT4R Name:AjO/( 01e-5F License #: ,-)g? 3
Address: A,`
City: ?I?1? State: Zip: ,? 5-311
Phone: Contact Person: _7
COMPLETE THIS AREA ONLY iF CONSTRUCTlNG A NEW BU1LD[NG
- Minnesota Rules 7670 Categorv i Minnesota Ru(es 7672
Energy Code • ResidenUal Ventiiation Category 1 Worksheet u. New Energy Code Warksheei
Category Submitted S
i
b
m
u
tted
(4 submission #ype) • Energy Enveiope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit tor a simitar plan based on a master pian?
_,Yes _No If yes, date and address of master pian:
Licensed Plumber: Phone:
fiAechanical Contractor: Phone:
Sewer & Water Contractor: Phone-
NOTE P/ans and supportiag docuinents:that you submit ace cons4deretl #o be pvklic hnfarmation Portrons'of
fhe rnformatron m?y be classified as rran;public 1f you'provrde specific reasons fhat irvoafd perm?t #he,C?ty #o
,
conclvde thatthe -?re tradiiiisecrets.
1 hereby acknawiedge that this information is complete and accur2te; thaT the work wilf be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is noi to start without a permit; that the work wili be in
accordanca with the approved plan in the r,ase ot work whieh requires a review and approval of pJa$s.
? t ??'? 3?'?c- ?'?? ? ??.? ?`j?? :4 . ?'_---_
X
Applicant's Printed Name = -,N`nrsft?? ta Qinna+e- mr`
Page 1 of 3
CltJ 0? Eaticin
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2 7 2009 ?
2008 RESIDEIVTIAL BUILDING
Date: SiteAddress: R?"" ?
Tenant: _
-----------------?
? For Off'ice Use I
? I
? Permit#: ? I
? Permit Fee: od
I ?
? Date Received: ?
I ?
I Staff: ?
I ?
?._-_-_______---_-J
PERMIT APPLICATION
Suite #:
RESIDENT / OWNER Name: o u e- l Phone: L?7 I C G? V'-70U(D
Address / City / Zip: 14 tp ty O ? ? CI Q ( ?` f {
Applicant is: Owner Contractor
TYPE OF WORK Description ofwork: 3WtiidaW rtjqfouM,?nYf (fl tY 0T/41 Opl/ll/}
Construction Cost: V Multi-Family Building: (Yes "7 No
THD At-Home Services, Inc.
CONTRACTOR Name 2690 Cumberland Pkwy, Ste 300 License #:
Addre Cumberland Office Park S -(? b y 7
Atlanta, GA 30339-3913
City: _ Lic# 20268257 Ph. 763/ 542-8826 - State: zip:
Phone: Contact Person: J vd 1 Q? -04#r J bn.e s
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
MinnPsota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
SubmiSSion type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is compiete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an appiication for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
-rr P)
)(P-licant's Printed Name iplicanYs Signature
Page 1 of 3
Q1
rorC~c se
Permit
Cit.. of Ea afl
7
Permit Fee: J c
3830 Pilot Knob Road
Eagan MN 55122 Date Received: Cl !
Phone: (651) 675-5675
Fax: (651) 675-5694 I staff*
I
- ----------------J
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: • Site Address:((`( fa l-lw '7'
414
Tenant: Sal f C.~~9 JAL C~3~ ~?.ryi' ~'GyD /Y/7 1 Suite
RESIDENT / OWNER Name: To 42 i C KEG- , r, ,e 1i~ta n / 'hone:
Address ! City I Zip:
Applicant is: Owner X Contractor
TYPE OF WORK Description of work j.a.4v r ' - ~ i- e
Construction Cost: ISr 5c' Multi-Family Building: (Yes A ! No
CONTRACTOR Name: t5~ C~1h ice" c_Tvs s Z - License 41 J 7.3
Address:
City: State: A"- Zip: __S
Phone: Contact Person: r J 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • ` New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting docurrments 'that you, submit are considered tribe public information. Portions of
the information may be classified as1jon public if you provide sp9cific reasons that wouldpermit the City to
conclude that>the are tradV rgts.
I hereby acknowledge that this information is complete and accurate; that the work will be a aDnformance with the ordinances and codes of the City of
Eagan: that I understand this is not a permit, but only an application for a permit, andz i5 no o start without a permit; that the work will be in -
accordance with the approved plan in the case of work which requires a review and approval dYpiay
x { f ~2 'tom x
Applicants Printed NameV A ' ants Signature
Page 1 of 3
4'670 &E Cf
DO NOT WRITE BELOW THIS LINE
7s
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement Siding ? Demolish Building*
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 0a'o ° Occupancy a C ' MCES System
~
I
Plan Review Code Edition /fill zoo77 SAC Units
• (25% 100% Zoning City Water
Census Code q? q Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
IQ Footings (deck) Final/C.O.
Footings (addition) o Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water _Final Pool: _Footings ___Air/Gas Tests -Final
)o Framing A Siding: _Stucco Lath Stone Lath _Brick
Fireplace:_R.l. Air Test Final Windows
Insulation - Retaining Wall
Reviewed B,.-AA , Building Inspector
- - - - - - - - - - - - - - - - - - -
RESIDENTIAL FEES: S ; n P n /ZEv o
Base Fee ,~f'I/ ' lN 9., O°o
2) 0 Surcharge U ! tJ e- t I S P
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies 5O
Total
Page 2 of 3
I -
C. R. WINDEN & ASSOCIATES INC.
LAND SURVEYORS UL $45-3446
1381 EUSTIS ST., ST. PAUL, MINN. 5410$
For:
U. S. Home Corporation
Scale: 1" 50'
3a ~z 64
s,•
3
Q6
yQJ z3~ h WA•i
aD ~3 n C ~?I
h~ h Q 6~
•4/a~Q'0 sa Z
3 3 G'}
Off, ~ q o
l
Note: As of this date Johnny Cake
Ridge Second Addition has not
been recorded.
Lots 1 thru 4 inclusive, Block 8,
Johnny Cake Ridge Second Addition,
Dakota County, Minnesota.
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION Of ALL WILDINGS. If ANY.
THEREON, AND ALL VISIBLE ENCROACHMENTS, If ANY, PROM 0* ON SAID LAND.
loud this 27A dsr Of,....L'OV- AD. 1#74 C. R. WINDEN & ASSOCIATES, INC.
$,rv y r, Mias/ssN R.pstr.iiM Ns. ,
I For Offce Use City of Eaau Permit qosE
Permit Fee.
~
3830 Pilot Knob Road
2009
Eagan MN 55122 Date Receiv4-
Phone: (651) 675-5675 I
Fax: (651) 675-5694 LStaff:
- - - - - - - - - - Uf
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: /O
Tenant: Suite
RESIDENT / OWNER Name: Phone: _
Address/ City/ Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes /No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and rk is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appr of plans.
X C-le ie a & 10- e i x
Applicant's Printed Na e p scant s Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace Porch (3-Season) _ Storm Damage
_ Single Family Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
- New Interior Improvement _ Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
_ Alteration Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%_) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: _Stucco Lath -Stone Lath -Brick
Fireplace: _Rough In Air Test Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee -50_
Surcharge L0
Plan Review UCH
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
CA, QGc
DO NOT WRITE BELOW THIS LINE i f
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Savo Occupancy c - -3 MCES System
Plan Review Code Edition SAC Units _
(25%_ 100%__) 'T - Zoning City Water -
Census Code Stories - Booster Pump
# of Units Square Feet ~1- i 7 PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final/ C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests _Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: _Rough In _Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee /30
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Da&
C. R. WINDEN & ASSOCIATES, INC.
tl LAND SURVEYORS T.L 645.3646
1381 EUSTIS SL, ST. PAUL, MINN. 55108
For:
U. S. Home Corporation
Scale: 1" = 50'
Sq
st
L~ h h' ??•3,~
INV
IV "b
h ~~PS. ~ X69 . `
'OIL 13
'pj~ /OXoZI~G~i {
R VIWED
BY-
~TONS DIVISION
Note: As of this date Johnny Cake
Ridge Second Addition has not
been recorded.
Lots 1 thru 4 inclusive, Block 8,
Johnny Cake Ridge Second Addition,
Dakota County, Minnesota.
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY,
THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Doted this day of ?`~V. A.D. 1979. C. R. wINDEN & ASSOCIATES. INC.
Surveyor, Minnesota Rogistrotion No. 7726
Z -41 -7 -At
f
t
/‘if
0 3 \Ai i
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/
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1 1,;-' 13
•--
....,
Use BLUE or BLACK Ink
r-----------------I
I For Office Use ( ~f
Permit M
001 I
City of Eap 1
Permit Fee: I
3830 Pilot Knob Road t
Eagan MN 55122 Date Received:
i I
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 L--------- ~
2014 RESIDENTIAL, PLUMBING PERMIT APPLICATION
Date: Site Address: 6 q P i ) r
Tenant: t 1' + t 1 I Suite
Name: y l ~(S (Yl~ CA I l PhoneL,5 40(~-u(t~5 6
Resident/Owner,
~
Address /City /Zip: IfJ v 1 C t * r 1
License
~ Name: ~ k
i Contractor Address: `l t CRY:
I C
State: U) 1. Zip: 5,1A Phone:
3 1
Contact: ~ Email:
_ ( Y
_ New Replacement - Repair - Rebuild - Modify Space Work in R.O.W.
Type of Work
P Description of work:
f RESIDENTIAL p
4 Water Heater _
Water Softener [
Lawn Irrigation RPZ PV8)
Permit Type = Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
Abandonment w 3
RESIDENTIAL FEES:
r
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge).
*Water Turnaround (add $200.00 if a 5/8" meter is required) t
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
60oo ill
v
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www aogherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
actor ce with the approved plan in the case of work which requires a review and appro - of plans.
x 1'x(1 `,Cbb~f` x fi
Applicant' Printed Name Applican s Signature -
04
FOR OFFICE USE Reviewed By: _ e:
Required Inspections: zder Ground Rough-In Air Test 4el Final r
Metes R+tli+sd tS(ft R:ad
��l0 l ��lO l�� , [lG�l9�, ��� � Use BLUE or BLACK!nk
4 ForOf�cetl'se---------��
. f�. . .. . � . . . ' . .
� Q@PTTII�#: � ��� (
�1�� of���aIl , p .: . � ��� ;
� erm�t Fee_ �
3830 Pilot Knob Road
Eagah MN 55122 j Date Received: i
Rhane:(651}675-5675 i i
Fax;(651)675-8694 i Staff: i
1 1
�----__ --------�
2014 RES113ENTIAL BUILDING PERMiT APPLfiCAT10N
t ,
o��: �--t��-�� ��A���: y��� - �,�7a �� �y� �I,r,� �,��:
Name: �t.'�I�i��'t' �/`l L-- !�tc���?�r� � Phone: �
�4SId4ri� �
OYltti�3' Address/City/Zip:�'��' /��
aPP{icant is: Ownet ✓L. Gontractor
� Ty�e t�f V1fo1°k Description of work:
�'��- �,�� �-f RL -,����''"
.
�a d�P � ,
Constructian Cost: f > Multi-Family'Building:(Yes�/No_�
' Company:/V�Y��5� G[��1�r/s9�G��L�''S '�CoMacC� r m �G�t1a%'
� �
Ci�tttF�G��C Address:�C'I��''l z�6?�! �'Y� Lr,r-,�� ics c�ry:�y���'� �.�o v�
. . . . . � 3r`� ���� �V��t-� '-f � )r . . .
State:�Zip:�� Phane: �Emaii:lJ�nr�t�l�3r't.�5'7'�c9�1�a/����v —
l.�`l � 7 ���.-�:..�r�,.
ucense#:�3� 3 �.eaa cert�t�c�#;N�.�--,�r=�i t 1 a 3 —>
1�the pcoject is exempt from lead certificatiart, please explain wt►y: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF GONSTRUCTlNG A NEW BUiL�tNG
...r-
� !n#!�s last 92 mon# , tMe City cf Eagan isst�d a pemrit for a�imilar ptan based on a ma�ter ptan?
_Yes �No If yes,date and add f master ptan:
Licensed Plumber: Phonec
Mect�anicai ContracMr: �
Sewer 8�Water Cont r. Phone: ```",- ,�„
°�iil7�TE� ,a�t�sup�ttingr tlo�vtn�nts.thai'you'submit are����tler��d tt�tre public ir►fortn{�fia� 1��rffo�of
.�rt�'��aniation tx��y���cl���1�s�tan pubffc ff�r��prov�d�s;pecif";c�sons tir�#wo�ld�e;�x�tt�e=��to'
� � � � � cuaclttde-fh�t t�t� �a�ie�cl�se��e�s.� '_ � � � � � � �
CALL BEF�RE Y{?U DIG. Galt Gopher State One Ca!!at(651}d54-0002 forpratedian against undergrourul ut�ity damage. Cai!48 hours
befofe you intend to dig to receive tocates ofi undergrourtd utit�ties. wnxw.�ooherstateonecaif.org
t t�reby ackncw+dedge thaf this information is c�mplete and aa��ate;that the v�rork will be in confat�nance with the ordinar�s ar�d codes of the G�ty of
Eagan,that!understand this is not&pertnit, but oniy an application#or a pemrit,and v�k is not to start withou#a pem�t;fhat the wrork wrilt be in
accordance with the approved ptan in the case of v�trfc whieh requues a review and approva!of ptans.
Ex�rior work authorized by a build}n9 Pem�it issued in acccudance with the Minn�ota 8tate 'MMg Code m�t be compieted withm 18tf
days of p�nnit issuane8. ,
�
x �p� G . : _
x y.
ApPiicanf s Prir�ted Name r ant's Signature
Page 4 oP 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129837
Date Issued:03/17/2015
Permit Category:ePermit
Site Address: 4664 Ridge Cliffe Dr
Lot:1 Block: 08 Addition: Johnny Cake Ridge 2nd
PID:10-39801-08-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Renae Frienwald
2200 Hwy 13 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jerome C Getchell
4664 Ridge Cliffe Dr
Eagan MN 55122--370
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature